Step number and aerobic minute exercise prescription and progression in stroke: A roadmap

 All this useless information published and you didn't write a protocol on it. Why the hell are you in stroke research anyway?

 

 Step number and aerobic minute exercise prescription and progression in stroke: A roadmap

Neurorehabilitation and Neural Repair (NNR) , Volume 36(2) , Pgs. 97-102.

NARIC Accession Number: J88557.  What's this?
ISSN: 1545-9683.
Author(s): Peters, Sue; Klassen, Tara; Schneeberg, Amy; Dukelow, Sean; Bayley, Mark; Hill, Michael; Pooyania, Sepideh; Yao, Jennifer; Eng, Janice .
Publication Year: 2022.
Number of Pages: 6.

Abstract: 

This study modeled data from a successful higher intensity multi-site randomized clinical trial to develop targets for prescribing and progressing exercise for varying levels of walking impairment after stroke. In 25 individuals in inpatient rehabilitation, 20 sessions were monitored for a total of 500 one-hour physical therapy sessions. For the 500 sessions, step number and aerobic minute progression were modeled using linear mixed-effects regression. Using formulas from the linear mixed-effects regression, targets were calculated. The model for step number included session number and baseline walking speed, and the model for aerobic minutes included session number and age. For steps, there was an increase of 73 steps per session. With baseline walking speed, for every 0.1 meter per second increase, a corresponding increase of 302 steps was predicted. For aerobic minutes, there was an increase of .56 minutes of aerobic activity (34 seconds) per session. For every year increase in age, a decrease of .39 minutes (23 seconds) was predicted. Using data associated with better walking outcomes, this study provided step number and aerobic minute targets that future studies can cross-validate. As walking speed and age are collected at admission, these models allow for uptake of routine measurement of therapeutic intensity.
Descriptor Terms: AMBULATION, EXERCISE, MODELING, OUTCOMES, PREDICTION, REHABILITATION, STROKE.